NPIMap

Organization Active NPI

KKB Health Solutions

  • Substance Abuse Rehabilitation Facility
  • Fountain Valley, CA
National Provider Identifier
1619558566
Registry record updated Aug 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
KKB HEALTH SOLUTIONS
Doing business as
Clear Life Recovery
Practice address
15964 McCord Cir
Fountain Valley, CA 92708-1034
Phone
(561) 860-6551
NPI assigned
Apr 20, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Katie Murphy
Title
Coo
Phone
(561) 860-6551

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

15964 McCord Cir
Fountain Valley, CA 92708-1034

Mailing address

4029 Westerly PL Ste 109a
Newport Beach, CA 92660-2329
Phone (561) 860-6551

Other names 1

  • Clear Life Recovery Doing business as

National Provider Directory

National Provider Directory
Tax ID family
KKB Health Solutions5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4029 Westerly Pl
Ste 109A
Newport Beach, CA 92660
Phone (561) 860-6551

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1618876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628553600000",
    "number": "1619558566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4029 WESTERLY PL STE 109A",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602329",
            "telephone_number": "561-860-6551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15964 MCCORD CIR",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927081034",
            "telephone_number": "561-860-6551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KKB HEALTH SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-20",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-10",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "KATIE",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "561-860-6551"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clear Life Recovery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fountain Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.